Korean J Thorac Cardiovasc Surg.
1997 Dec;30(12):1247-1250.
Simultaneous Repair of Secondary Anterior Chest Wall Deformity and Secundum Atrial Septal Defect: 1 Case Report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Korea.
Abstract
- A 13-year-old boy presented with anterior chest wall depression and dyspnea on exertion(NYHA II). He underwent Ravitch operation for pectus excavatum 7 years ago. A preoperative echocardiographic study revealed secundum atrial septal defect. He had no other abnormality of laboratory test, except FVC and FEV1 were decreased into 2.03 L(72%) and 1.82 L(71%). He underwent repair of secondary anterior chest wall deformity and secundum atrial septal defect. We used unique method, raising sternum at right angle to secure good operative field for open heart surgery. Acute respiratory insufficiency was developed on postoperative day 1. Mechanical ventilation was applied which could be weaned on postoperative day 6 and thereafter hospital course was uneventful without any other sequale. He was discharged on postoperative day 19.
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